A Trial to Evaluate the Efficacy and Safety of ARO-INHBE in Adults With Metabolic Dysfunction-Associated Steatohepatitis
A Phase 2, Double-Blind, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of ARO-INHBE in Adults With Metabolic Dysfunction-Associated Steatohepatitis With or Without Type 2 Diabetes Mellitus
This study is designed to evaluate the safety and efficacy of ARO-INHBE in adults with suspected metabolic dysfunction-associated steatohepatitis (MASH).
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Medical Monitor
- Telefonnummer: 626-304-3400
- E-mail: AROINHBE@arrowheadpharma.com
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Key Inclusion Criteria:
- BMI between 30.0 to 50.0 kilograms (kg)/square meter (m^2) (inclusive) with body weight ≤159 kg at Screening
- Stable body weight
- Participants on background glucagon-like peptide-1 (GLP-1) (or GLP-1/glucose-dependent insulinotropic polypeptide [GIP]) therapy must be on a stable dose for ≥6 months
- Participants not on GLP-1 (or GLP-1/GIP) therapy must be treatment naïve or off therapy for ≥6 months.
Key Exclusion Criteria:
- Clinical or laboratory signs of decompensated liver disease, history of esophageal varices, ascites, or hepatic encephalopathy, or history of cirrhosis on biopsy performed prior to Screening.
- History or evidence of hepatic disease of non-metabolic dysfunction-associated steatotic liver disease (MASLD) etiology (viral hepatitis, alcoholic liver disease, primary biliary cholangitis [PBC], primary sclerosing cholangitis [PSC], Wilson's disease, alpha-1 antitrypsin [A1AT] deficiency, hemochromatosis, or autoimmune hepatitis).
- Type 1 diabetes mellitus (T1DM) or uncontrolled Type 2 diabetes mellitus (T2DM).
- Use of non-GLP-1 receptor medications known to cause weight loss within 3 months prior to Screening.
- Use of medications associated with weight gain (for example, tricyclic antidepressants, mirtazapine, paroxetine, atypical antipsychotics) unless on a stable dose ≥3 months prior to Screening with anticipated continuation on this dose throughout the trial.
- Clinically significant end-organ disease.
- Major surgery within 90 days of Screening.
- Use of hepatocyte-targeted ribonucleic acid interference (RNAi) therapies within 6 months of Screening.
- Insulin use within 6 months of Screening (except short-term peri-procedural/inpatient use).
Note: Other protocol-defined Inclusion/Exclusion criteria may apply.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: ARO-INHBE Low Dose
Participants will receive ARO-INHBE at a low dose on Days 1, 85, 169, and 253. |
Subcutaneous (SC) injection |
|
Placebo komparator: Placebo for ARO-INHBE Low Dose
Participants will receive placebo on Days 1, 85, 169, and 253. |
SC injection |
|
Eksperimentel: ARO-INHBE High Dose (Schedule 1)
Participants will receive ARO-INHBE at a high dose on Days 1, 85, 169, and 253. |
Subcutaneous (SC) injection |
|
Placebo komparator: Placebo for ARO-INHBE High Dose (Schedule 1)
Participants will receive placebo on Days 1, 85, 169, and 253. |
SC injection |
|
Eksperimentel: ARO-INHBE High Dose (Schedule 2)
Participants will receive ARO-INHBE at a high dose on Days 1, 85, and 169. |
Subcutaneous (SC) injection |
|
Eksperimentel: Placebo for ARO-INHBE High Dose (Schedule 2)
Participants will receive placebo on Days 1, 85, and 169. |
SC injection |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Percent Change From Baseline in Liver Fat Content (LFC) by Magnetic Resonance Imaging-proton Density Fat Fraction (MRI-PDFF) at Week 48
Tidsramme: Baseline, Week 48
|
Baseline, Week 48
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Percentage of Participants With Resolution of Steatohepatitis and No Worsening of Liver Fibrosis (Histology)
Tidsramme: Week 48
|
Week 48
|
|
Percentage of Participants With Improvement in Liver Fibrosis by ≥1 Stage and No Worsening of Steatohepatitis (Histology)
Tidsramme: Week 48
|
Week 48
|
|
Change From Baseline in Non-alcoholic Fatty Liver Disease Activity Score (NAS) Total Score and Individual Subscores (Steatosis, Hepatocyte Ballooning, and Lobular Inflammation) at Week 48
Tidsramme: Baseline, Week 48
|
Baseline, Week 48
|
|
Change From Baseline in Fibrosis Stage (Histology) at Week 48
Tidsramme: Baseline, Week 48
|
Baseline, Week 48
|
|
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Tidsramme: Baseline up to Week 48
|
Baseline up to Week 48
|
|
Change From Baseline in LFC by MRI-PDFF at Week 24
Tidsramme: Baseline, Week 24
|
Baseline, Week 24
|
|
Percentage of Participants With >30%, >50%, and >70% Reduction in LFC From Baseline by MRI-PDFF at Week 24 and Week 48
Tidsramme: Week 24 and Week 48
|
Week 24 and Week 48
|
|
Change From Baseline Through Week 48 in Body Weight
Tidsramme: Baseline through Week 48
|
Baseline through Week 48
|
|
Change From Baseline Through Week 48 in Body Composition (Total Adipose Tissue [TAT], Visceral Adipose Tissue [VAT] Volume, and Total Lean Tissue [TLT]), by Whole-body Magnetic Resonance Imaging (WB-MRI)
Tidsramme: Baseline through Week 48
|
Baseline through Week 48
|
|
Change From Baseline Through Week 48 in Serum Activin E Protein
Tidsramme: Baseline through Week 48
|
Baseline through Week 48
|
|
Change From Baseline in Markers of Hepatic Steatosis at Week 48
Tidsramme: Baseline through Week 48
|
Baseline through Week 48
|
|
Change From Baseline in Markers of Inflammation at Week 48
Tidsramme: Baseline through Week 48
|
Baseline through Week 48
|
|
Change From Baseline in Markers of Fibrosis at Week 48
Tidsramme: Baseline through Week 48
|
Baseline through Week 48
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- AROINHBE-2001
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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